Megan Wagenet

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023641-1 Issued in NY

Practice address

Gannett Health Services
110 Ho Plaza
Ithaca, NY 14853-3101

Phone

(607) 255-6106

Fax

(607) 254-3503

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801000781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GANNETT HEALTH SERVICES",
            "address_2": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148533101",
            "telephone_number": "607-255-6106",
            "fax_number": "607-254-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GANNETT HEALTH SERVICES",
            "address_2": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148533101",
            "telephone_number": "607-255-6106",
            "fax_number": "607-254-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENET",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023641-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.